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A Multi-center, Randomized, Open-label, Mechanism of Action Trial on the Biological Effects of the Therapeutic Cancer Vaccine Stimuvax® (L-BLP25) in Rectal Cancer Subjects Undergoing Neoadjuvant Chemoradiotherapy


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Rectal Cancer

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Trial Information

A Multi-center, Randomized, Open-label, Mechanism of Action Trial on the Biological Effects of the Therapeutic Cancer Vaccine Stimuvax® (L-BLP25) in Rectal Cancer Subjects Undergoing Neoadjuvant Chemoradiotherapy


Inclusion Criteria:



1. Male and female subjects with histologically documented resectable rectal
adenocarcinoma in stage II-IV.

2. Availability of tumor biopsy sufficient for immunological analysis.

3. Indication to receive neoadjuvant concomitant chemoradiotherapy consisting of a
radiation dose of 45-52 Gy and capecitabine 825 mg/m² orally twice daily. The use of
an equivalent schedule based on 5-fluorouracil (5-FU) is acceptable.

4. Imaging not older than 4 weeks to document absence of metastatic disease.

5. Eastern Cooperative Oncology Group (ECOG) performance 5. status of 0 or 1.

6. Written informed consent.

7. 18 years of age.

Exclusion Criteria:

1. Previous chemotherapy and/or previous radiotherapy of the pelvic region.

2. Relapsing disease.

3. Previous vaccination with any MUC1 vaccine and other therapeutic cancer vaccines.

4. Previous organ transplantation (bone marrow or solid organs).

5. Subjects with metastatic disease (except for solitary, resectable liver or lung
metastases).

6. Inadequate hematological function (i.e. platelet count < 140*10^9/L, or WBC <
2.5*10^9/L, or hemoglobin < 90 g/L). Clinically significant hepatic dysfunction (i.e.
alanine aminotransferase [ALT] > 2.5 times upper limit of normal [ULN], or aspartate
aminotransferase [AST] > 2.5*ULN, or bilirubin > 1.5*ULN). Inadequate renal function
(i.e. serum creatinine > 1.5*ULN).

7. Autoimmune diseases.

8. Recognized immunodeficiency disease including cellular immunodeficiencies,
hypogammaglobulinemia or dysgammaglobulinemia; subjects who have hereditary or
congenital immunodeficiencies.

9. Any preexisting medical condition requiring chronic steroid or immunosuppressive
therapy.

Additional exclusion criteria also apply.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Change from baseline of tumor-infiltrating lymphocytes (TILs) evaluated by immunohistochemical analysis

Outcome Time Frame:

4 months

Safety Issue:

No

Principal Investigator

Prof. Sonia Quaratino

Investigator Role:

Study Director

Investigator Affiliation:

Merck KGaA

Authority:

Austria: Agency for Health and Food Safety

Study ID:

EMR063325-013

NCT ID:

NCT01507103

Start Date:

January 2012

Completion Date:

June 2013

Related Keywords:

  • Rectal Cancer
  • L-BLP25 (Stimuvax)
  • Cyclophosphamide
  • Mode of action
  • Neoplasms
  • Neoplasms by Site
  • Carcinomas
  • Antineoplastic Agents,
  • Neoadjuvant
  • Radiotherapy Pharmacologic Actions
  • Immunosuppressive Agents
  • Immunologic Function
  • Therapeutic Uses
  • Molecular Mechanisms of Pharmacological Action
  • Rectal Neoplasms

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